Amy DO, PA-C
Physician Assistant in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1982128260
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1982128260
- Entity type
- Individual (NPI-1)
- Name
- Amy DO
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2017
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA54563 | CA | Yes |
Practice location
8235 Rochester Ave Ste 110Rancho Cucamonga, CA 91730-0719
Phone 909-484-4900
Mailing address
8356 Fern AveRosemead, CA 91770-3231
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All 63 Physician Assistant providers in Rancho Cucamonga · All 5,953 providers in Rancho Cucamonga
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